ST MARYS HOSPITAL OF ST MARYS COUNTY: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: ST MARYS HOSPITAL OF ST MARYS COUNTY (EIN 52-0619006)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-11
IRS object ID: 201601329349304305
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-11T18:45:36-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 International Drive	AddressLine1Txt
City	McLean	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520619006	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARYS HOSPITAL OF ST MARYS COUNTY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOEL BRYAN	InCareOfNm
Business Name Control	STMA	BusinessNameControlTxt
Phone	3014756003	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25500 POINT LOOKOUT ROAD	AddressLine1Txt
City	LEONARDTOWN	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20650	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Joel Bryan	PersonNm
Person Title	Vice President/Treasurer	PersonTitleTxt
Phone	4107726721	PhoneNum
Signature	2016-04-26	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Margaret A Bradshaw	PreparerPersonNm
PTIN	P00501222	PTIN
Phone	7032868000	PhoneNum
Preparation	2016-04-26	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MedStar St Mary's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CHRISTINE WRAY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25500 POINT LOOKOUT ROAD	AddressLine1Txt
City	LEONARDTOWN	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20650	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$152,951,658	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STMARYSHOSPITALMD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	MEDSTAR ST. MARY'S HOSPITAL UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1465	TotalEmployeeCnt
Total Volunteers	267	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,935,081	PYContributionsGrantsAmt
CY Contributions Grants	$1,193,832	CYContributionsGrantsAmt
PY Program Service Revenue	$140,555,472	PYProgramServiceRevenueAmt
CY Program Service Revenue	$150,528,381	CYProgramServiceRevenueAmt
PY Investment Income	$15,734	PYInvestmentIncomeAmt
CY Investment Income	$5,637	CYInvestmentIncomeAmt
PY Other Revenue	$1,468,882	PYOtherRevenueAmt
CY Other Revenue	$1,206,931	CYOtherRevenueAmt
PY Total Revenue	$143,975,169	PYTotalRevenueAmt
CY Total Revenue	$152,934,781	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$69,365,011	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$72,462,646	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$62,367,409	PYOtherExpensesAmt
CY Other Expenses	$67,199,989	CYOtherExpensesAmt
PY Total Expenses	$131,732,420	PYTotalExpensesAmt
CY Total Expenses	$139,662,635	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,242,749	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,272,146	CYRevenuesLessExpensesAmt
Total Assets BOY	$125,221,074	TotalAssetsBOYAmt
Total Assets EOY	$146,709,177	TotalAssetsEOYAmt
Total Liabilities BOY	$20,503,376	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,842,165	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$104,717,698	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$126,867,012	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR ST. MARY'S HOSPITAL'S (MEDSTAR ST. MARY'S) MISSION IS TO UPHOLD ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING QUALITY CARE, PATIENT SAFETY AND FISCAL INTEGRITY. MEDSTAR ST. MARY'S IS LOCATED IN LEONARDTOWN, MARYLAND, IN THE SOUTHERN REGION. IN FISCAL YEAR 2015, MedStar St. Mary's HAD 8,242 INPATIENT ADMISSIONS, AND 119,774 OUTPATIENT VISITS INCLUDING 52,005 EMERGENCY VISITS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$106,878,747	ExpenseAmt
Revenue	$145,854,209	RevenueAmt
Desc	MEDSTAR ST. MARY'S HOSPITAL'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES FOR COMMUNITIES OF ST. MARY'S COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR ST. MARY'S INCURRED $45.3M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR ST. MARY'S PROVIDES GENERAL, ACUTE CARE SERVICES IN MEDICINE, SURGERY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPAEDICS, PULMONARY AND CARDIAC REHABILITATION, AND PSYCHIATRY. THE HOSPITAL OFFERS KIDNEY TRANSPLANT SERVICES THROUGH THE MEDSTAR GEORGETOWN TRANSPLANT INSTITUTE AND ORTHOPAEDIC SERVICES THROUGH THE MEDSTAR ORTHOPAEDIC INSTITUTE. IT ALSO PROVIDES HOSPICE CARE AND IS PARTNERED IN A JOINT VENTURE THAT PROVIDES HOME CARE. IN ADDITION TO EMERGENCY ROOM CARE, IT OPERATES AN URGENT CARE FACILITY LOCATED 15 MILES NORTH OF CAMPUS AS WELL AS ON-CAMPUS AND MOBILE COMMUNITY BASED HEALTH SERVICES. AN OUTPATIENT PAVILION INCLUDES CANCER CARE AND INFUSION SERVICES, IMAGING AND WOMEN'S HEALTH SERVICES, AND COMMUNITY OUTREACH AND PHYSICIAN OFFICE SPACE. SERVICES ALSO INCLUDE A CENTER FOR WOUND HEALING. FOR THE EIGHTH CONSECUTIVE YEAR, MEDSTAR ST. MARY'S WAS THE RECIPIENT OF THE 2014 DELMARVA FOUNDATION FOR MEDICAL CARE'S EXCELLENCE AWARD FOR QUALITY IMPROVEMENT IN HOSPITALS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,124,600	ExpenseAmt
Revenue	$4,674,172	RevenueAmt
Desc	MEDSTAR ST. MARY'S PROVIDED $9.1M IN SUBSIDIZED (MISSION DRIVEN) HEALTH SERVICES IN FISCAL YEAR 2015. THESE CRITICAL SERVICES, WHICH ARE DRIVEN BY COMMUNITY NEEDS, OPERATE AT A LOSS. THEY ADDRESS PRIORITIES PRIMARILY THROUGH DISEASE PREVENTION AND IMPROVEMENT OF HEALTH STATUS. SERVICES PROVIDED INCLUDE HOSPITALISTS, PSYCHIATRY, AND EMERGENCY DEPARTMENT COVERAGE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,782,643	ExpenseAmt
Desc	MEDSTAR ST. MARY'S PROVIDED $1.8M IN CHARITY CARE SERVICES IN FISCAL YEAR 2015. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY TO MEMBERS OF THE COMMUNITY WHOSE INCOME IS BELOW CERTAIN THRESHOLDS AND FOR WHICH THE HOSPITAL IS NOT COMPENSATED. UNDER MARYLAND'S UNIQUE PAYER SYSTEM, THE AMOUNT REPORTED REPRESENTS MEDSTAR ST. MARY'S CHARITY CARE EXPENSE. OTHER CHARITY CARE EXPENSES ARE INDIRECTLY REIMBURSED VIA THE STATE OF MARYLAND'S PAYMENT SYSTEM.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$117,785,990	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	215	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1465	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOEL BRYAN	PersonNm
Phone	4107726721	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5565 STERRETT PLACE 5TH FL	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21044	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTINE WRAY
PRESIDENT/BOARD MEMBER	39.0	1.0	Yes (X)	Yes (X)	$689,738	$93,766	$26,112
KENNETH A SAMET
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$4,325,505	$64,424
John Harvey MD
BOARD MEMBER	1.0	0.0	Yes (X)		$15,150	$0	$0
AVANI SHAH MD
BOARD MEMBER	1.0	0.0	Yes (X)		$15,000	$0	$0
CONOR F LUNDERGRAN MD
BOARD MEMBER	1.0	0.0	Yes (X)		$10,000	$0	$0
BARBARA R THOMPSON
CHAIR	1.0	0.0	Yes (X)		$0	$0	$0
JANE H SYPHER
VICE CHAIR	1.0	0.0	Yes (X)		$0	$0	$0
LEWIE ALDRIDGE JR
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
DONALD CATHER JR
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MARY LEIGH HARLESS
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
TRACY HARRIS PHD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
R TIMOTHY STORCH
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
PATTY VERNON-RUSHER
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
JENNIFER BLAKE
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
CHRISTINA L BROOM
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MELANIE L GUERRERO MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
KRISHNA P JAYARAMAN MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
ANNA H CHOI
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
Richard Braam
CFO	40.0	0.0		Yes (X)	$354,084	$0	$26,583
Stephen Michaels
SECRETARY	40.0	0.0		Yes (X)	$0	$568,370	$21,333
MARYLOU WATSON
VICE PRESIDENT - NURSING	40.0	0.0			$242,403	$0	$14,717	Yes (X)
JOAN GELRUD
VICE PRESIDENT	40.0	0.0			$285,820	$0	$11,958	Yes (X)
Mark Whitten
PHYSICIAN	40.0	0.0			$605,144	$0	$1,129		Yes (X)
AMIR KHAN
PHYSICIAN	40.0	0.0			$514,830	$0	$4,855		Yes (X)
Bruce Gibson
PHYSICIAN	40.0	0.0			$412,350	$0	$6,409		Yes (X)
Richard Rothman
PHYSICIAN	40.0	0.0			$270,642	$0	$7,715		Yes (X)
PATRICIA GURNY
PHYSICIAN	40.0	0.0			$285,777	$0	$2,388		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,700,938	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,987,641	TotReportableCompRltdOrgAmt
Total Other Compensation	$187,623	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	66	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WM Davis Inc
PO Box 1210	LEONARDTOWN	MD	20650	Contractor - renvtns	$574,465
Nursefinders
PO Box 910738	DALLAS	TX	753910738	NURSING TEMP SVCS	$549,818
Interim Physicians LLC
PO Box 678004	DALLAS	TX	752678004	Physician Services	$355,010
Mobile PETCT Associates LLC
486 Norristown Rd Suite 133	BLUE BILL	PA	19422	PET Scanning SVCS	$219,755
Diversified Clinical Services Inc
PO Box 636981	CINCINNATI	OH	452636981	Clinical Svcs	$202,015

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Fundraising	$24,659	FundraisingAmt
Government Grants	$933,859	GovernmentGrantsAmt
All Other Contributions	$235,314	AllOtherContributionsAmt
Total Contributions	$1,193,832	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER OPERATING REVENUE	900099	$1,700,829	$1,700,829
NET PATIENT SERVICE REVENUE	621400	$147,788,650	$147,788,650
MEANINGFUL USE REVENUE	900099	$1,038,902	$1,038,902

Field	Value	IRS element (for citing)
Total Program Service Revenue	$150,528,381	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,485	TotalRevenueColumnAmt
Exclusion	$18,485	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$77,845	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$77,845	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$77,845	TotalRevenueColumnAmt
Exclusion	$77,845	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$12,848	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$12,848	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$12,848	TotalRevenueColumnAmt
Exclusion	-$12,848	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$6,746	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$24,659	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$4,029	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,717	TotalRevenueColumnAmt
Exclusion	$2,717	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EQUITY INTEREST IN AFFILIATES	900099	$905,613	$905,613
AUXILIARY INCOME	900099	$89,799	$89,799
MISCELLANEOUS REVENUE	900099	$130,957	$130,957

Field	Value	IRS element (for citing)
Other Revenue Total	$1,126,369	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$152,934,781	TotalRevenueColumnAmt
Related Or Exempt Func Income	$150,528,381	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,212,568	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,785,330	TotalAmt
Program Services	$1,523,376	ProgramServicesAmt
Management And General	$261,954	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$59,963,560	TotalAmt
Program Services	$55,104,380	ProgramServicesAmt
Management And General	$4,859,180	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$275,788	TotalAmt
Program Services	-$252,902	ProgramServicesAmt
Management And General	-$22,886	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,551,647	TotalAmt
Program Services	$5,924,921	ProgramServicesAmt
Management And General	$626,726	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,437,897	TotalAmt
Program Services	$4,081,466	ProgramServicesAmt
Management And General	$356,431	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	-$43,340	TotalAmt
Management And General	-$43,340	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,535,570	TotalAmt
Program Services	$13,137,081	ProgramServicesAmt
Management And General	$9,398,489	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$470,681	TotalAmt
Program Services	$22,692	ProgramServicesAmt
Management And General	$447,989	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$672,107	TotalAmt
Program Services	$432,656	ProgramServicesAmt
Management And General	$239,451	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,376,611	TotalAmt
Program Services	$1,255,684	ProgramServicesAmt
Management And General	$120,927	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,604,737	TotalAmt
Program Services	$1,430,502	ProgramServicesAmt
Management And General	$174,235	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$60,514	TotalAmt
Program Services	$45,813	ProgramServicesAmt
Management And General	$14,701	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$168,718	TotalAmt
Program Services	$153,146	ProgramServicesAmt
Management And General	$15,572	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,138,067	TotalAmt
Management And General	$1,138,067	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,959,551	TotalAmt
Program Services	$3,396,501	ProgramServicesAmt
Management And General	$3,563,050	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$605,287	TotalAmt
Program Services	$607,405	ProgramServicesAmt
Management And General	-$2,118	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Med /Surg Supplies	$24,072,723	$24,031,828	$40,895
Maintenance	$2,578,630	$2,541,145	$37,485
Utilities	$2,168,210	$2,151,856	$16,354
Food Services/Supplies	$1,217,881	$1,176,498	$41,383

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,614,042	TotalAmt
Program Services	$1,021,942	ProgramServicesAmt
Management And General	$592,100	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$139,662,635	TotalAmt
Program Services	$117,785,990	ProgramServicesAmt
Management And General	$21,876,645	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$18,632,648	BOYAmt
EOY	$24,899,048	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$78,675	BOYAmt
EOY	$57,241	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,175,270	BOYAmt
EOY	$22,027,205	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,450,226	BOYAmt
EOY	$2,425,985	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,617,951	BOYAmt
EOY	$2,990,213	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,187,624	BOYAmt
EOY	$653,460	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$155,795,451	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$78,419,917	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$74,382,532	BOYAmt
EOY	$77,375,534	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,722,749	BOYAmt
EOY	$1,696,364	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,973,399	BOYAmt
EOY	$14,584,127	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,221,074	BOYAmt
EOY	$146,709,177	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,374,239	BOYAmt
EOY	$9,220,101	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$290,690	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$534,038	BOYAmt
EOY	$289,343	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,595,099	BOYAmt
EOY	$10,042,031	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,503,376	BOYAmt
EOY	$19,842,165	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$104,081,780	BOYAmt
EOY	$126,767,012	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$535,918	BOYAmt
EOY	$100,000	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,000	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$104,717,698	BOYAmt
EOY	$126,867,012	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$125,221,074	BOYAmt
EOY	$146,709,177	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,272,146	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$8,877,168	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$112,651	BeginningYearBalanceAmt
Investment Earnings Or Losses	$38	InvestmentEarningsOrLossesAmt
End Year Balance	$112,689	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$112,554	BeginningYearBalanceAmt
Investment Earnings Or Losses	$97	InvestmentEarningsOrLossesAmt
End Year Balance	$112,651	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$112,352	BeginningYearBalanceAmt
Investment Earnings Or Losses	$202	InvestmentEarningsOrLossesAmt
End Year Balance	$112,554	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$112,178	BeginningYearBalanceAmt
Investment Earnings Or Losses	$174	InvestmentEarningsOrLossesAmt
End Year Balance	$112,352	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$111,777	BeginningYearBalanceAmt
Investment Earnings Or Losses	$401	InvestmentEarningsOrLossesAmt
End Year Balance	$112,178	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,320,009	OtherCostOrOtherBasisAmt
Book Value	$5,320,009	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,867,100	OtherCostOrOtherBasisAmt
Depreciation	$29,476,652	DepreciationAmt
Book Value	$53,390,448	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$502,201	OtherCostOrOtherBasisAmt
Depreciation	$137,926	DepreciationAmt
Book Value	$364,275	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,685,759	OtherCostOrOtherBasisAmt
Depreciation	$48,243,796	DepreciationAmt
Book Value	$13,441,963	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,420,382	OtherCostOrOtherBasisAmt
Depreciation	$561,543	DepreciationAmt
Book Value	$4,858,839	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$77,375,534	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS IN CONSOLIDATED	$6,792,509
INTERCOMPANY RECEIVABLES	$4,933,248
INVESTMENTS IN UNCONSOLIDATED	$2,843,122
DEFERRED FINANCING COSTS	$15,248

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$14,584,127	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ADVANCES	$4,137,486
DUE TO/FROM OTHER PARTY	$3,780,706
OTHER SHORT TERM LIABILITIES	$1,081,423
OTHER LONG TERM LIABILITIES	$1,042,416

Field	Value	IRS element (for citing)
Total Liability	$10,042,031	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FIN 48 FOOTNOTE	FormAndLineReferenceDesc
Explanation	SCHEDULE D, PART X INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THERE WAS NO LIABILITY RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2015. ENDOWMENT FUNDS SCHEDULE D, PART V THE ENDOWMENT IS USED TO FUND THE NEEDS OF THE HOSPITAL.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$31,405	GrossReceiptsEvent1Amt
Charitable Contri Event1	$24,659	CharitableContriEvent1Amt
Gross Revenue Event1	$6,746	GrossRevenueEvent1Amt
Cash Prizes Event1	$800	CashPrizesEvent1Amt
Rent Facility Costs Event1	$2,923	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$306	FoodAndBeverageEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$31,405	GrossReceiptsTotalAmt
Charitable Contributions Tot	$24,659	CharitableContributionsTotAmt
Gross Revenue Total Events	$6,746	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$800	CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$2,923	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$306	FoodAndBeverageTotalEventsAmt
Direct Expense Summary Events	$4,029	DirectExpenseSummaryEventsAmt
Net Income Summary	$2,717	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,803,899	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,803,899	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,803,899	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,803,899	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,362,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$221,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,140,989	NetCommunityBenefitExpnsAmt
Total Expense	0.01530	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$221,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,079	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$219,006	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,124,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,674,172	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,450,428	NetCommunityBenefitExpnsAmt
Total Expense	0.03190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$184,392	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$184,392	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,892,706	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,897,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,994,815	NetCommunityBenefitExpnsAmt
Total Expense	0.05010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,696,605	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,897,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,798,714	NetCommunityBenefitExpnsAmt
Total Expense	0.06300	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,436	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,436	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,449	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$442,832	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$442,832	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$600,596	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$529,302	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,392,881	BadDebtExpenseAmt
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARYS HOSPITAL OF ST MARYS COUNTY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25500 POINT LOOKOUT ROAD	AddressLine1Txt
City	LEONARDTOWN	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20650	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARYS HOSPITAL OF ST MARYS COUNTY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.MEDSTARSTMARYS.ORG/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Website URL	http://www.medstarstmarys.org/	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.MEDSTARSTMARYS.ORG/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.MEDSTARSTMARYS.ORG/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.MEDSTARSTMARYS.OR	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHARITY CARE AT COST	PART I, LINE 7A MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
UNREIMBURSED MEDICAID	PART I, LINE 7B MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.
BAD DEBT	PART III, LINE 4 MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE.
MEDICARE	PART III, LINE 8 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. AS SUCH, THE NET EFFECT FOR MEDICARE EXPENSES AND REVENUES IN MARYLAND IS ZERO. CHNA INPUT PART V, SECTION B, LINE 5 HOSPITAL LEAD ROLE DESCRIPTION The Community Health Needs Assessment (CHNA) Hospital Lead serves as the coordinator of all aspects of the community health assessment process. He/she helps establish and coordinate the activities of the Advisory Task Force. The Lead also helps produce the hospital's Community Health Needs Assessment and Implementation Strategy. He/she works collaboratively with representatives from the Corporate Community Health Department and Georgetown University. The Lead also works closely with the writer. He/she reviews all narratives prior to publication. Name of Hospital Lead: Lori Werrell Executive Sponsor Role Description The Executive Sponsor serves as the conduit between the Advisory Task Force and the Senior Management Team. The sponsor is an active participant of the Advisory Task Force and he/she communicates the hospital's clinical strengths and program priorities to diverse audiences. Name of Executive Sponsor: Joan Gelrud Advisory Task Force Role Description The Advisory Task Force (ATF) reviews primary/secondary data and local/state/federal community health goals. Based on findings, the ATF provides input into the hospital's three-year implementation strategy. As ambassadors for the CHNA process, the ATF members support efforts to optimize community participation. Note: The ATF should be a combination of community representatives and staff. Community representatives should makeup at least 50% of total participants. NAME TITLE/AFFILIATION WITH NAME OF ORGANIZATION HOSPITAL LORI WERRELL DIRECTOR, HEALTH CONNECTIONS MEDSTAR ST. MARY'S HOSPITAL JOAN GELRUD VICE PRESIDENT MEDSTAR ST. MARY'S HOSPITAL MARY LEIGH BOARD MEMBER MEDSTAR ST. MARY'S HARLESS HOSPITAL RIC BRAAM VICE PRESIDENT, CFO MEDSTAR ST. MARY'S HOSPITAL MEENAKSHI HEALTH OFFICER ST. MARY'S COUNTY BREWSTER HEALTH DEPARTMENT LORI JENNINGS DIRECTOR, AGING AND HUMAN ST. MARY'S County HARRIS SERVICES government colenthia executive director greater baden medical Malloy services holly meyers director, marketing and public medstar st. mary's relations hospital steve michaels COO & Vice President, Medical MedStar St. Mary's affairs hospital KATHLEEN O'BREIN CEO WALDEN SIERRA, INC. D. ROXANNE PRIMARY CARE PHYSICIAN MEDSTAR ST. MARY'S RICHARDS HOSPITAL ella mae russell director, social services st. mary's county department of social services margaret sawyer local resident volunteer william scarafa president st. mary's county chamber of commerce Nathaniel Project Director, MOTA Minority Outreach Scroggins Coalition and MOTA A.D. Shah, MD Physician, Chief of Staff MedStar St. Mary's hospital Jane H. Sypher Board Member MedStar St. Mary's Hospital Barbara Thompson Board Member MedStar St. Mary's HOSPITAL Mary Lou Watson Vice President, Chief Nursing MedStar St. Mary's Officer HOSPITAL Christine Wray President and Chief MedStar St. Mary's Executive OFFICER HOSPITAL Christine Wray President and Chief MedStar St. Mary's Executive OFFICER HOSPITAL
IMPLEMENTATION STRATEGIES	PART V, SECTION B, LINE 8 The implementation strategies serve as a roadmap for how community benefit resources will be allocated and deployed. MedStar's hospitals will be able to measure our contribution to improving the health of underserved and vulnerable populations in the regions we serve. Three-year implementation strategies with measurable objectives were developed for each hospital's community benefit service area - a specific community or target population of focus. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. The MedStar Health Corporate Community Health Department will provide system-wide coordination and oversight of community benefit programming. NEEDS ASSESSMENT PART VI, LINE 2 IN FY15, MEDSTAR ST. MARY'S HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA WAS LED BY 20 ADVISORY TASK FORCE (ATF) MEMBERS, WHICH WAS COMPRISED OF A DIVERSE GROUP OF INDIVIDUALS, INCLUDING PHYSICIANS, COMMUNITY RESIDENTS, COMMUNITY LEADERS, AND HOSPITAL REPRESENTATIVES, THE ATF REVIEWED QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA, AS WELL AS LOCAL, REGIONAL AND NATIONAL HEALTH GOALS. BASED ON THEIR FINDINGS, ATF MEMBERS DESIGNED A SURVEY TO IDENTIFY TRENDS IN HOW PARTICIPANTS PERCEIVED THE SEVERITY OF KEY HEALTH ISSUES IN THE FOLLOWING CATEGORIES: WELLNESS AND PREVENTION, ACCESS TO CARE, QUALITY OF LIFE, AND ENVIRONMENT. COMMUNITY MEMBERS RESPONDED TO THE SURVEY BY ATTENDING A COMMUNITY INPUT SESSION OR COMPLETING IT ONLINE OR VIA HARDCOPY. BASED ON THE ATF'S RECOMMENDATION, THE HOSPITAL IDENTIFIED ST. MARY'S COUNTY, WITH AN EMPHASIS ON LEXINGTON PARK, AS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) - A GEOGRAPHY WITH A HIGH DENSITY OF LOW-INCOME OR VULNERABLE RESIDENTS WITHIN CLOSE PROXIMITY OF THE HOSPITAL. HEALTH PRIORITIES FOR THE CBSA INCLUDE CHRONIC DISEASE (HEART DISEASE/STROKE, DIABETES, OBESITY, AND ALZHEIMER'S DISEASE), SUBSTANCE ABUSE, ACCESS TO CARE, AND BEHAVIORAL HEALTH. THE HOSPITAL'S FY15 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MEDSTAR ST. MARY'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT WAS PUBLISHED ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2015. AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM MEDSTAR ST. MARY'S ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY BENEFIT WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3 AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED PATIENTS WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH AND ITS HEALTHCARE FACILITIES WILL: * TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, WITH RESPECT AND WITH COMPASSION. * SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS AT OUR FACILITIES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE. * ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSIONS PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR PART OF ALL OF THE CARE THEY RECEIVE. * BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY. IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH'S FACILITIES WORK WITH THEIR UNINSURED PATIENTS TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES PRIOR TO ADMISSION (FOR SCHEDULED SERVICES) OR PRIOR TO BILLING (FOR EMERGENCY SERVICES). BASED ON THIS INFORMATION AND PATIENT ELIGIBILITY, MEDSTAR HEALTH'S FACILITIES ASSISTS UNINSURED PATIENTS WHO RESIDE WITHIN THE COMMUNITIES WE SERVE IN ONE OR MORE OF THE FOLLOWING WAYS: * ASSIST WITH ENROLLMENT IN PUBLICLY-FUNDED ENTITLEMENT PROGRAMS (E.G., MEDICAID). * ASSIST WITH CONSIDERATION OF FUNDING THAT MAY BE AVAILABLE FROM OTHER CHARITABLE ORGANIZATIONS. * PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE ACCORDING TO APPLICABLE GUIDELINES. * PROVIDE FINANCIAL ASSISTANCE FOR PAYMENT OF FACILITY CHARGES USING A SLIDING SCALE BASED ON PATIENT FAMILY INCOME AND FINANCIAL RESOURCES. * OFFER PERIODIC PAYMENT PLANS TO ASSIST PATIENTS WITH FINANCING THEIR HEALTHCARE SERVICES. EACH FACILITY POSTS THE POLICY, INCLUDING A DESCRIPTION OF THE APPLICABLE COMMUNITIES IT SERVES, IN EACH MAJOR PATIENT REGISTRATION AREA AND IN ANY OTHER AREAS REQUIRED BY APPLICABLE REGULATIONS, COMMUNICATES THE INFORMATION TO PATIENTS AS REQUIRED BY THIS POLICY AND APPLICABLE REGULATIONS AND MAKES A COPY OF THE POLICY AVAILABLE TO ALL PATIENTS. ADDITIONALLY, THE MARYLAND PATIENT INFORMATION SHEET/MEDSTAR'S PATIENT INFORMATION SHEET IS PROVIDED TO INPATIENTS ON ADMISSION AND AT TIME OF FINAL ACCOUNT BILLING. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. THE CHARITY CARE, FINANCIAL ASSISTANCE, AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY ARE NOT AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: * COMPLETING FINANCIAL DISCLOSURE FORMS NECESSARY TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. * WORKING WITH THE FACILITY'S FINANCIAL COUNSELORS AND OTHER FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. * COMPLETING APPROPRIATE APPLICATIONS FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS. THIS RESPONSIBILITY INCLUDES RESPONDING IN A TIMELY FASHION TO REQUESTS FOR DOCUMENTATION TO SUPPORT ELIGIBILITY. * MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. * PROVIDING UPDATED FINANCIAL INFORMATION TO THE FACILITY'S FINANCIAL COUNSELORS ON A TIMELY BASIS AS THE PATIENT'S CIRCUMSTANCES MAY CHANGE. * IT IS THE RESPONSIBILITY OF THE PATIENT TO INFORM THE MEDSTAR HOSPITAL OF THEIR EXISTING ELIGIBILITY UNDER A MEDICAL HARDSHIP DURING THE 12-MONTH PERIOD. UNINSURED PATIENTS OF MEDSTAR HEALTH'S FACILITIES MAY BE ELIGIBLE FOR CHARITY CARE OR SLIDING-SCALE FINANCIAL ASSISTANCE UNDER THIS POLICY. THE FINANCIAL COUNSELORS AND FINANCIAL SERVICES STAFF DETERMINE ELIGIBILITY FOR CHARITY CARE AND SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT.
COMMUNITY INFORMATION	PART VI, LINE 4 GEOGRAPHIC: ST. MARY'S COUNTY IS LOCATED ON A PENINSULA IN SOUTHERN MARYLAND WITH OVER 400 MILES OF SHORELINE ON THE PATUXENT RIVER, POTOMAC RIVER AND CHESAPEAKE BAY. MEDSTAR ST. MARY'S HOSPITAL, LOCATED IN LEONARDTOWN, MARYLAND, IS THE ONLY ACUTE CARE HOSPITAL IN THE COUNTY. THE COUNTY IS DESIGNATED BY THE BUREAU OF PRIMARY CARE AS A HEALTH PROFESSIONS SHORTAGE AREA FOR DENTAL AND MENTAL HEALTH. THE SOUTHERN HALF OF THE COUNTY IS DESIGNATED AS A PRIMARY CARE SHORTAGE AREA. THE HOSPITAL'S CBSA INCLUDES THE 109,633 RESIDENTS OF ST. MARY'S COUNTY, MARYLAND, WITH A FOCUS ON THE LEXINGTON PARK COMMUNITY (ZIP CODE 20653). THE LEXINGTON PARK COMMUNITY WAS SELECTED DUE TO A HIGH DENSITY OF LOW-INCOME RESIDENTS. DEMOGRAPHICS: ST. MARY'S COUNTY HAS A POPULATION OF 109,633 CITIZENS. ST. MARY'S COUNTY IS A FEDERALLY DESIGNATED RURAL AREA WITH A DIVERSE POPULATION. FARMERS, WATERMAN, HIGH TECH SCIENTISTS, DEFENSE CONTRACTORS/ENGINEERS AND MILITARY MEMBERS LIVE ALONGSIDE AMISH AND MENNONITE COMMUNITIES, MAKING THE ST. MARY'S COUNTY POPULATION UNIQUE. THE RESIDENTS OF ST. MARY'S COUNTY ARE MAJORITY WHITE (79.3%), FOLLOWED BY BLACK/AFRICAN AMERICAN (14.3%), HISPANIC (4.5%), ASIAN (2.8%), AMERICAN INDIAN/ALASKA NATIVE (0.4%) AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER (0.1%). APPROXIMATELY 5% OF RESIDENTS ARE OF HISPANIC ORIGIN. ST. MARY'S COUNTY HAS BEEN THE FASTEST GROWING COUNTY IN MARYLAND WITHIN THE PAST 10 YEARS - WITH A POPULATION INCREASE OF 22% SINCE 2000, AND 4.3% GROWTH IN THE LAST THREE YEARS. THE COUNTY ALSO HAS THE HIGHEST PERCENTAGE OF VETERANS IN MARYLAND, ONE OF THE LOWEST MEDIAN AGES, AND AN EMERGING HISPANIC POPULATION, ALL OF WHICH INFLUENCE HEALTH AND DELIVERY OF HEALTH SERVICES. HEART DISEASE, CANCER, LOWER RESPIRATORY ILLNESSES, STROKE AND DIABETES ARE THE LEADING CAUSES OF DEATH. MOST RESIDENTS (76.5%) WORK IN THE COUNTY. THE HIGH PAYING JOBS ASSOCIATED WITH THE PATUXENT RIVER NAVAL AIR STATION MASK A GROWING UNDERSERVED AREA LOCATED OUTSIDE THE BASE GATES IN THE LEXINGTON PARK COMMUNITY (ZIP CODE 20653). WITH APPROXIMATELY 18.3% OF THE POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL, LEXINGTON PARK HAS THE GREATEST NUMBER OF MEDICALLY UNDERSERVED CITIZENS IN THE AREA. APPROXIMATELY 11% (11,626 RESIDENTS) OF THE ST. MARY'S POPULATION LIVES IN THE LEXINGTON PARK CENSUS DESIGNATED PLACE (CDP), WHICH IS THE SINGLE LARGEST CENTER OF POPULATION IN THE COUNTY, WITH A DISPROPORTIONATE NUMBER LIVING IN POVERTY OR NEAR POVERTY LEVELS. THE LARGEST NUMBER OF MINORITIES (32% BLACK/AFRICAN AMERICAN AND 7.4% HISPANIC) LIVE WITHIN THIS CENSUS TRACT. THE MEDIAN ANNUAL FAMILY INCOME FOR LEXINGTON PARK IS $66,932, AS COMPARED TO THE MEDIAN ANNUAL FAMILY INCOME IN ST. MARY'S COUNTY OF $85,032. CERTAIN CENSUS TRACTS WITHIN THE LEXINGTON PARK AREA HAVE A HIGH CONCENTRATION OF POVERTY, WITH ONE HAVING A MEDIAN ANNUAL FAMILY INCOME LOW$42,766. LEXINGTON PARK HAS A LOWER PER CAPITA INCOME AND A HIGHER UNEMPLOYMENT RATE THAN THE REST OF ST. MARY'S COUNTY, A COMBINATION CONTRIBUTING TO THE COUNTY'S HEALTH DISPARITIES.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 AS A COMMUNITY PARTNER, MEDSTAR ST. MARY'S ENGAGES IN A NUMBER OF ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELL-BEING OF ST. MARY'S COUNTY RESIDENTS. PRIORITY AREAS OF FOCUS, AS DETERMINED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT, ARE CHRONIC DISEASE, SPECIFICALLY TARGETING HEART DISEASE/STROKE, DIABETES, OBESITY, AND ALZHEIMER'S DISEASE; SUBSTANCE ABUSE, ACCESS TO CARE, AND BEHAVIORAL HEALTH. TO IMPROVE POPULATION HEALTH OUTCOMES FOR ST. MARY'S COUNTY, THE HOSPITAL WILL PROVIDE TARGETED CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMMING. PROGRAMS INCLUDE LIVING WELL WITH DIABETES, MILLION HEARTS INITIATIVES, AND HEAL (HEALTHY EATING/ACTIVE LIVING). THROUGH ITS GET CONNECTED MOBILE OUTREACH UNIT, MEDSTAR ST. MARY'S WILL BE ABLE TO BRING PRIMARY CARE AND SUPPORT SERVICES DIRECTLY TO THE COMMUNITIES OF UNDERSERVED POPULATIONS. THE CENTER IS A COMPLETE MOBILE PRIMARY CARE OFFICE WITH TWO EXAM ROOMS; PROVIDERS INCLUDE A FULL-TIME NURSE PRACTITIONER, MEDICAL ASSISTANT, ADMINISTRATIVE ASSISTANT AND A CARE COORDINATOR. A BEHAVIORAL INTERVENTIONIST WILL PROVIDE SEAMLESS TRANSITION INTO SUBSTANCE ABUSE OR BEHAVIORAL HEALTH SERVICES. THROUGH MEDSTAR ST. MARY'S HEALTH CONNECTIONS PROGRAM, RESIDENTS OF ST. MARY'S COUNTY CAN TAKE ADVANTAGE OF A VARIETY OF HEALTH PROMOTION AND HEALTH EDUCATION SERVICES. EXAMPLES INCLUDE EVIDENCE-BASED CHRONIC DISEASE PROGRAMMING, SUPPORT GROUPS, SPECIAL EVENTS AND SCREENINGS, FLU CLINICS, AND COMMUNITY COALITIONS. THE HOSPITAL IS THE LEAD ON THE REGIONS HEALTH ENTERPRISE ZONE DESIGNATION AND GRANT FUNDED PROJECT.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6 AS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR ST. MARY'S IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MEDSTAR ST. MARY'S WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY.
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, LINE 7 THE COMMUNITY BENEFIT REPORT FOR MEDSTAR ST. MARY'S HOSPITAL IS ONLY FILED IN THE STATE OF MARYLAND.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTINE WRAY
PRESIDENT/BOARD MEMBER	$316,568	$0	$373,170	$0	$0	$93,766	$7,650	$0	$18,462	$0	$715,850	$93,766	$0	$0
KENNETH A SAMET
BOARD MEMBER	$0	$1,526,829	$0	$2,783,911	$0	$14,765	$0	$43,766	$0	$20,658	$0	$4,389,929	$0	$0
Richard Braam
CFO	$247,093	$0	$106,991	$0	$0	$0	$7,650	$0	$18,933	$0	$380,667	$0	$0	$0
Stephen Michaels
SECRETARY	$0	$361,422	$0	$206,948	$0	$0	$0	$7,650	$0	$13,683	$0	$589,703	$0	$0
MARYLOU WATSON
VICE PRESIDENT - NURSING	$190,081	$0	$52,322	$0	$0	$0	$0	$0	$14,717	$0	$257,120	$0	$0	$0
JOAN GELRUD
VICE PRESIDENT	$198,796	$0	$87,024	$0	$0	$0	$0	$0	$11,958	$0	$297,778	$0	$0	$0
Mark Whitten
PHYSICIAN	$571,208	$0	$0	$0	$33,936	$0	$0	$0	$1,129	$0	$606,273	$0	$0	$0
AMIR KHAN
PHYSICIAN	$471,330	$0	$43,500	$0	$0	$0	$0	$0	$4,855	$0	$519,685	$0	$0	$0
Bruce Gibson
PHYSICIAN	$308,859	$0	$103,491	$0	$0	$0	$0	$0	$6,409	$0	$418,759	$0	$0	$0
Richard Rothman
PHYSICIAN	$230,579	$0	$40,063	$0	$0	$0	$0	$0	$7,715	$0	$278,357	$0	$0	$0
PATRICIA GURNY
PHYSICIAN	$238,521	$0	$47,256	$0	$0	$0	$0	$0	$2,388	$0	$288,165	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 4B:	FormAndLineReferenceDesc
Explanation	Mr. Samet's bonus and incentive compensation in Part II, Column (B) (ii) includes $620,610, representing benefits received from executive retirement plans that are comprised of target benefits determined annually based on compensation and years of service.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	520936091	BondIssuerEIN
Bond Issued	2006-12-12	BondIssuedDt
Issue Price	$8,309,151	IssuePriceAmt
Purpose	Equipment Lease	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,019,074	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$8,309,151	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$108,141	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$8,201,010	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2007	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JAYARAMAN MEDICAL ASSOCIATES LLC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE SCHEDULE L, PART IV	RelationshipDescriptionTxt
Transaction	ER DEPT & ON CALL UROLOGY SVCS	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV DR. KRISHNA JAYARAMAN, A BOARD MEMBER AT MEDSTAR ST. MARY'S HOSPITAL, OWNS MORE THAN 35% OF JAYARAMAN MEDICAL ASSOCIATES, LLC (JMA), WHICH PROVIDES EMERGENCY DEPARTMENT AND ON CALL UROLOGY SERVICES TO MEDSTAR ST. MARY'S HOSPITAL. JMA'S GROSS REVENUES RECEIVED FROM THE HOSPITAL FOR THE YEAR WERE $0.2 MILLION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION MEMBERS	PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION. DESCRIPTION OF MEMBERS PART VI, LINE 7A AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE ORGANIZATION MAY RECOMMEND PERSON(S) FOR MEMBERSHIP ON THE ORGANIZATION'S GOVERNING BODY. ANY SUCH RECOMMENDATION BY THE ORGANIZATION IS SUBJECT TO APPROVAL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. THE BOARD OF MEDSTAR HEALTH, INC. HAS DELEGATED CERTAIN APPROVAL AUTHORITY TO THE GOVERNANCE COMMITTEE AND THE PRESIDENT & CEO OF MEDSTAR HEALTH, INC.
DECISIONS OF GOVERNING BODY	PART VI, LINE 7B AS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC., A TAX-EXEMPT MARYLAND NON-STOCK CORPORATION, THE BYLAWS OF THE ORGANIZATION ARE SUBJECT TO CERTAIN RESERVED POWERS, WHICH PROVIDE THAT THE SOLE MEMBER OF THE ORGANIZATION MUST APPROVE CERTAIN DECISIONS, INCLUDING BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF REAL OR PERSONAL PROPERTY, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE.
PROCESS FOR REVIEWING FORM 990	PART VI, LINE 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDED EDUCATION AND TRANSPARENCY. SENIOR FINANCIAL EXECUTIVES, WORKING WITH INDEPENDENT OUTSIDE EXPERTS, THOROUGHLY REVIEWED FORM 990 AND ACCOMPANYING INSTRUCTIONS. IN ADDITION, SENIOR EXECUTIVES REVIEWED THE RELEVANT SECTIONS OF THE FORM 990 WITH THE FOLLOWING COMMITTEES OF THE ORGANIZATION'S GOVERNING BODY: FINANCE, AUDIT, GOVERNANCE, STRATEGIC PLANNING, AND EXECUTIVE COMPENSATION. FOLLOWING THESE MEETINGS, THE GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 IN ITS FINAL FORM AND GIVEN AN OPPORTUNITY TO PROVIDE ANY INPUT OR COMMENTS RELATING TO THE FORM 990 PRIOR TO ITS FILING.
CONFLICT OF INTEREST POLICY	PART VI, LINE 12C APPOINTMENT OF BOARDS OF DIRECTORS MEDSTAR HEALTH (AND ITS SUBSIDIARIES) REQUIRE ALL NOMINATED DIRECTORS, PRIOR TO THEIR APPOINTMENT OR ELECTION, TO DISCLOSE THE EXISTENCE OF (OR POTENTIAL EXISTENCE OF) ANY TRANSACTION WITH MEDSTAR THAT WOULD RESULT IN A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED. ANNUAL DISCLOSURES - ALL OFFICERS, DIRECTORS, AND SENIOR MANAGERS ALL OFFICERS, DIRECTORS AND SENIOR MANAGERS ARE REQUIRED, NOT LESS THAN ANNUALLY, TO COMPLETE A SURVEY OF QUESTIONS CONCERNING ANY TRANSACTIONS OR RELATIONSHIPS WHICH WOULD OR COULD REPRESENT A CONFLICT OF INTEREST. SUCH DISCLOSURES (IF ANY) ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF THE MEDSTAR HEALTH BOARD OF DIRECTORS WHICH DETERMINES HOW THE MATTER SHOULD BE RESOLVED.
EXECUTIVE COMPENSATION PROCESS	PART VI, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEDSTAR HEALTH, INC. (THE "COMMITTEE") HAS OVERSIGHT OVER THE EXECUTIVE COMPENSATION PROGRAM (THE "PROGRAM") OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES. TOTAL COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF MEDSTAR HEALTH, INC. AND ITS AFFILIATES ARE REVIEWED AND APPROVED BY THE COMMITTEE WITH ASSISTANCE AND GUIDANCE FROM AN INDEPENDENT THIRD PARTY ADVISOR. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM ALL OF THE PARTICIPANTS IN THE PROGRAM. THE MAIN OBJECTIVE OF THE PROGRAM IS TO PROVIDE MARKET COMPETITIVE TOTAL COMPENSATION THAT IS INTERNALLY EQUITABLE AND HAS A STRONG PAY-FOR-PERFORMANCE LINKAGE. PERFORMANCE IS EVALUATED AT THE SYSTEM, OPERATING UNIT, AND INDIVIDUAL LEVELS. THE OVERALL TOTAL COMPENSATION PHILOSOPHY IS MANAGED AT THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR COMPARABLE SIZE (NET REVENUE) AND TYPE (TAX-EXEMPT HEALTHCARE ORGANIZATIONS). WHERE APPROPRIATE, ADDITIONAL INDUSTRY DATA IS CONSIDERED (GENERAL BUSINESS AND/OR TAXABLE HEALTHCARE) FOR SELECTED POSITIONS THAT CAN BE RECRUITED FROM OR POTENTIALLY LOST TO THESE INDUSTRIES (E.G., INFORMATION TECHNOLOGY, FINANCE, ETC.). THE COMMITTEE HAS ENGAGED ERNST & YOUNG LLP ("E&Y") TO SERVE AS AN ADVISOR ON THE REASONABLENESS AND COMPETITIVENESS OF THE PROGRAM. IN DETERMINING REASONABLENESS AND COMPETITIVENESS, E&Y REVIEWS MARKET PRACTICES AND TRENDS, AND MAKES RECOMMENDATIONS RELATED TO THE PROGRAM. E&Y UTILIZES INFORMATION FROM CUSTOM SURVEYS, NATIONAL COMPENSATION SURVEYS, PROPRIETARY DATABASES, AND CLIENT EXPERIENCES TO DETERMINE ITS FINAL RECOMMENDATIONS. E&Y PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE MAKES THE FINAL DECISIONS ON ALL OF THE COMPENSATION DETERMINATIONS OF THE PROGRAM. ALL DECISIONS MADE BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED.
FINANCIAL STATEMENT AVAILABILITY	PART VI, LINE 19 MEDSTAR HEALTH POSTS ITS ANNUAL FINANCIAL AUDIT AND QUARTERLY FINANCIAL REPORTS TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM. THE ORGANIZATION ALSO E-MAILS ITS ANNUAL AND QUARTERLY DISCLOSURES TO HOLDERS OF THE COMPANY'S PUBLICLY TRADED DEBT. THE COMPANY'S GOVERNANCE DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH ITS CORPORATE (OR AS APPLICABLE ENTITY) PUBLIC INFORMATION OFFICES.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 9 EQUITY TRANSFERS........................................$ 9,963,384 CONTRIBUTIONS FOR PROPERTY ACQUISITIONS.................$ 12,441 MINIMUM PENSION LIABILITY ADJUSTMENT ...................$ (1,098,657) ============= TOTAL $ 8,877,168
FINANCIAL STATEMENTS AND REPORTING	PART XII, LINE 2 ST. MARYS HOSPITAL OF ST. MARYS COUNTY INC. IS AN AFFILIATE OF THE MEDSTAR HEALTH, INC. AUDIT AND SUBJECT TO OVERSIGHT BY THE AUDIT COMMITTEE OF THE MEDSTAR BOARD.
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:9207339
FORM 990 PART IX LINE 11G	DESCRIPTION:POOLED/SHARED SERVICES TOTAL FEES:6935255
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:6392976

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHURCH HOME CORPORATION
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	237374724	MEDICAL FUND	MD	501(C)(3)	PF	NA	Yes (true)
FRANKLIN SQUARE HOSPITAL CENTER INC
9000 FRANKLIN SQUARE DRIVE	BALTIMORE	MD	21237	520608007	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
HARBOR HOSPITAL INC
3001 SOUTH HANOVER STREET	BALTIMORE	MD	21225	520491660	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
MEDSTAR HEALTH INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	522087445	MEDICAL SVCS	MD	501(C)(3)	11C III	NA	false
MONTGOMERY GENERAL HOSPITAL
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	520646893	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
THE GOOD SAMARITAN HOSPITAL OF MARYLAND
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	520591607	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
THE UNION MEMORIAL HOSPITAL
201 EAST UNIVERSITY PARKWAY	BALTIMORE	MD	21218	520591685	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
MEDSTAR HEALTH RESEARCH INSTITUTE
108 IRVING STREET NW	WASHINGTON	DC	20010	526056274	HOSPITAL	DC	501(C)(3)	4	NA	Yes (true)
THE MEDSTAR-GEORGETOWN MEDICAL CENTER I
HOPSITAL ADMIN 1 MAIN BLDG	WASHINGTON	DC	20007	522218584	HOSPITAL	DC	501(C)(3)	3	NA	Yes (true)
WASHINGTON HOSPITAL CENTER CORPORATION
110 IRVING STREET NW	WASHINGTON	DC	20010	521272129	HOSPITAL	DC	501(C)(3)	3	NA	Yes (true)
HH MEDSTAR HEALTH INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521542230	MEDICAL SVCS	MD	501(C)(3)	11C III	NA	Yes (true)
MEDSTAR AMBULATORY SERVICES INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521132992	ADMIN SVCS	MD	501(C)(3)	11B II	NA	Yes (true)
BAY LIFE SERVICES INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521496539	MENTAL HEALTH	MD	501(C)(3)	9	NA	Yes (true)
MEDSTAR SURGERY CENTER INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521061679	MEDICAL SVCS	MD	501(C)(3)	9	NA	Yes (true)
CHURCH HOME AND HOSPITAL OF THE CITY OF
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	520591600	MEDICAL FUND	MD	501(C)(3)	11B II	NA	Yes (true)
FRANKLIN SQUARE HOSPITAL CENTER FOUNDATI
9000 FRANKLIN SQUARE DRIVE	BALTIMORE	MD	21237	522329546	FOUNDATION	MD	501(C)(3)	7	NA	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	522307122	FOUNDATION	MD	501(C)(3)	11A I	NA	Yes (true)
GOOD SAMARITAN NURSING CENTER INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521672866	MEDICAL SVCS	MD	501(C)(3)	9	NA	Yes (true)
GS HOUSING INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521481656	ELDER HOUSING	MD	501(C)(3)	9	NA	Yes (true)
GS PROPERTIES INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521429853	ADMIN SVCS	MD	501(C)(3)	11A I	NA	Yes (true)
HARBOR HOSPITAL FOUNDATION INC
3001 SOUTH HANOVER STREET	BALTIMORE	MD	21225	521284532	FOUNDATION	MD	501(C)(3)	11A I	NA	Yes (true)
MEDSTAR HEALTH INFUSION INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521980510	MEDICAL SVCS	MD	501(C)(3)	9	NA	Yes (true)
MEDSTAR HEALTH VISITING NURSES ASSOCIATI
4061 POWDERMILL ROAD	CALVERTON	MD	20705	530196597	MEDICAL SVCS	MD	501(C)(3)	9	NA	Yes (true)
MEDSTAR VNA HEALTHCARE
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521458516	MEDICAL SVCS	MD	501(C)(3)	9	NA	Yes (true)
MGH COMMUNITY HEALTH INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521372467	MEDICAL SVCS	MD	501(C)(3)	9	NA	Yes (true)
MGH HEALTH FOUNDATION INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521129959	FOUNDATION	MD	501(C)(3)	7	NA	Yes (true)
MGH HEALTH SERVICES INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521366812	FOUNDATION	MD	501(C)(3)	11B II	NA	Yes (true)
MGH WOMEN'S BOARD
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	526039600	FOUNDATION	MD	501(C)(3)	11B II	NA	Yes (true)
NATIONAL REHABILITATION HOSPITAL
102 IRVING STREET NW	WASHINGTON	DC	20010	521369749	HOSPITAL	DC	501(C)(3)	3	NA	Yes (true)
REGIONAL REHAB AT OLNEY INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	522310902	MEDICAL SVCS	MD	501(C)(3)	3	NA	Yes (true)
SUBURBAN NRH MEDICAL REHABILITATION I
102 IRVING STREET NW	WASHINGTON	DC	20010	521931151	MEDICAL SVCS	DC	501(C)(3)	3	NA	Yes (true)
THE THOMAS O'NEIL CATHOLIC HEALTH CARE F
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	521104382	FOUNDATION	MD	501(C)(3)	11D III	NA	Yes (true)
VNA INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521332411	ADMIN SVCS	MD	501(C)(3)	11B II	NA	Yes (true)
WHC FOUNDATION INC
110 IRVING STREET NW	WASHINGTON	DC	20010	521791670	FOUNDATION	DC	501(C)(3)	7	NA	Yes (true)
WOODBOURNE WOODS INC
5601 LOCH RAVEN BLVD	BALTIMORE	MD	21239	522299070	ELDER HOUSING	MD	501(C)(3)	9	NA	Yes (true)
HOSPICE OF ST MARY'S INC
PO BOX 527	LEONARDTOWN	MD	20650	522153926	SUPPORT ORG	MD	501(C)(3)	11A I	NA	Yes (true)
ST MARY'S HOSPITAL FOUNDATION INC
PO BOX 527	LEONARDTOWN	MD	20650	521051368	SUPPORT ORG	MD	501(C)(3)	11A I	NA	Yes (true)
MEDSTAR SOUTHERN MD HOSPITAL CENTER INC
7503 SURRATTS ROAD	CLINTON	MD	20735	460726303	HOSPITAL	MD	501(C)(3)	3	NA	Yes (true)
MEDSTAR HEALTH INC AND AFFILIATES MASTER
5565 STERRETT PLACE	COLUMBIA	MD	21044	467454613	RET. TRUST	MD	501(A)	N/A	NA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PHYSICIAN IMAGING OF WASHINGTO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6525 BELCREST ROAD SUITE G 50	AddressLine1Txt
City	HYATTSVILLE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20782	ZIPCd

Field	Value	IRS element (for citing)
EIN	562616090	EIN
Primary Activities	LAB SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocationsInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEDSTAR PHARMACIES INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521513056	DRUG SALES	MD	NA	C CORP
EXTENCARE INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521556228	MEDICAL SERVICE	MD	NA	C CORP
HELIX RESOURCES MANAGEMENT INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521913070	ADMIN SERVICE	MD	NA	C CORP
HELIXCARE MEDICAL GROUP LLC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521955580	MEDICAL SERVICE	MD	NA	C CORP
HELIXCARE PROPERTIES LLC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521966695	MEDICAL SERVICE	MD	NA	C CORP
PARKWAY VENTURES INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521893569	HOLDING COMPANY	MD	NA	C CORP
PHYSICIANS ADMINISTRATIVE SERVICES INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	237042074	BILLING SERVICE	MD	NA	C CORP
MEDSTAR FAMILY CHOICE INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	521995521	MANAGED CARE	MD	NA	C CORP
MEDSTAR ENTERPRISES INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	522139841	ADMIN SERVICE	MD	NA	C CORP
SITEL INC
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	900753340	EDUCATIONAL SVCS	MD	NA	C CORP
STAR BILLING INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	521850113	BILLING SERVICE	MD	NA	C CORP
WASHINGTON RISK NETWORK MANAGEMENT INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	522132677	MEDICAL SERVICE	MD	NA	C CORP
WASHINGTON HOSPITAL CENTER PHYSICIAN HOS
100 IRVING STREET NW	WASHINGTON	DC	20010	521931000	MEDICAL SERVICE	MD	NA	C CORP
MEDSTAR PHYSICIAN PARTNERS INC
4061 POWDERMILL ROAD SUITE 210	CALVERTON	MD	20705	522030809	MEDICAL SERVICE	MD	NA	C CORP
FRANKLIN SQUARE DRIVE LAND CONDO ASSOCIA
5565 STERRETT PLACE 5TH FLOOR	COLUMBIA	MD	21044	760756352	CONDO OWNER ASSOC	MD	NA	C CORP
MGH DIVERSIFIED SERVICES INC
18101 PRINCE PHILIP DRIVE	OLNEY	MD	20832	521943602	MEDICAL SERVICE	MD	NA	C CORP
ST MARY'S HEALTH ALLIANCE INC
25500 POINT LOOKOUT ROAD	LEONARDTOWN	MD	20650	521930331	MEDICAL SERVICE	MD	NA	C CORP
GREENSPRING FINANCIAL INSURANCE LIMITED
				980188617	INSURANCE		NA	C CORP	23 LIME TREE BAY AVENUEPO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ
ST MARY'S CONDO ASSOCIATION
25500 POINT LOOKOUT ROAD	LEONARDTOWN	MD	20650	273377216	CONDOMINIUMS	MD	NA	C CORP
MEDSTAR HEALTH MASTER RETIREMENT TRUST
5565 STERRETT PLACE	COLUMBIA	MD	21044	999999999	INVESTMENTS		NA	C CORP					CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Montgomery General Hospital Inc
P	$459,545	FMV
Hospice of St Mary's Inc
R	$144,450	FMV
St Mary's Hospital Foundation Inc
R	$190,459	FMV